HomeMy WebLinkAbout4065 Upham StreetINSPECTION RECORD
Inspection online form: http://www.ci.wheatridge.co.us/inspection
Cancellations must be submitted via the online form before 8 a.m. the day of the inspection
Inspections will not be performed unless this card is posted on the project site
Requefit an inspect
ion before MIDNIGHT (11:5 ,PM) to receive an inspection the following business day + ,�,�
PERMIT. ADDRESS. , G JOB CODE: ,4�IU _
I ►i ta43-P
Foundation Inspections
Date
Inspect r
Initials
Comments
102 Caissons / Piers
103 Footing / P.E. Letter
104 Foundation Setback Cert.
105 Stem Walls
106 Foundation wall Insulation
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground / Slab Inspections
Date
Inspector
Initials
Comments
201 Electrical / Cable/ Conduit
202 Sewer Underground Int.
203 Sewer Underground Ext.
204 Plumbing Underground Int.
205 Plumbing Underground Ext.
206 Water Underground
Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections
Rough Inspection
Date
Inspector
Initials
Comments
301 Rough Framing
302 Wall Sheathing
303 Roof Sheathing
304 Sheer Inspection
305 Insulation
306 Mid -Roof
307 Metal / Lath / Stucco
308 Rough Electrical Residential
309 Rough Electrical Commercial
310 Electrical Meter Residential
311 Electrical Meter Commercial
312 Temp. Const. Meter
313 Rough Plumbing Residential
314 Rough Plumbing Commercial
315 Shower Pan
SEE OVER FOR ADDITIONAL INSPECTIONS
U� _ yob3-
cRMIT 0 J(QJADDRESS: (�l � �
V�3
JOB CODEfw—W
Rough Inspection (continued)
Date
Inspector
Initials
Comments
316 Rough Mechanical Residential
317 Rough Mechanical Commercial
318 Boiler / Furnace
319 Hot water tank
320 Drywall screw and Nail
321 Moisture board / shower walls
322 Rough Grading
323 Miscellaneous
Final Inspections
Date
Inspector
Initials
Comments
402 Gas Meter Release
403 Final Electrical Residential
404 Final Electrical Commercial
405 Final Mechanical Residential
406 Final Mechanical Commercial
407 Final Plumbing Residential
408 Final Plumbing Commercial
409 Final Roof
410 Final Window/Door
a , - Jq
411 Landscape/Park/Planning*
Inspections from these entities shall be requested
one week in advance.
*For landscaping and parking inspections please
call 303-235-2846
**For ROW and drainage inspections please call
303-235-2861
***For fire inspections please contact the Fire
Protection District for your project.
412 Row/Drainage/Public Works**
413 Flood plain Inspection**
414 Fire Insp. / Fire Protection***
415 Public Works Final**
416 Storm Water Mgmt.**
417 Zoning Final Inspection*
418 Building Final Inspection
Note: All items must be completed and approved by Planning, Public Works, Fire and Building
before a Certificate of Occupancy is issued. Approval of the Final Building Inspection does not
constitute authorization of occupancy.
For Low Voltage permits please be sure that rough inspections are completed by the Fire District and
Electrical low voltage by the Building Division.
A i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: L) Q - �� I �� dvc�
Job Address:�-
Permit Number: ";D C>► 53 0 e 1 b cl
❑ No one available for inspection: Time = d W AM/M
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date: a g I S Inspector: 7-6
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Resid. Windows/Doors PERMIT - 201800169
PERMIT NO: 201800169 ISSUED: 01/17/2018
JOB ADDRESS: 4065 Upham ST EXPIRES: 01/17/2019
JOB DESCRIPTION: Replace 1 window in kitchen; like for like; u -value = .32
*** CONTACTS ***
OWNER (303)912-4631 UPHAM STREET APARTMENTS LLC
SUB (303)574-9594 Rick Rose 080085 Window World of Denver
*** PARCEL INFO ***
ZONE CODE: UA /
Unassigned
USE:
UA /
Unassigned
SUBDIVISION CODE: 103
/
BLOCK/LOT#:
0 /
*** FEE SUMMARY ***
ESTIMATED PROJECT
VALUATION:
580.00
FEES
Window Replacement
50.00
Total Valuation
0.00
Use Tax
12.18
** TOTAL **
62.18
*** COMMENTS ***
*** CONDITIONS ***
Windows shall comply
with all applicable codes, have
a .32 or better
U -factor
and shall be
safety glazing if within
a tub enclosure, less than
18 inches above
the floor
or within 24
inches of a vertical
edge of a door.
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanyin% approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
•
perform and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
lbs 7
Signature of O r R or CONTRACTOR (Circle one) Date
1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180.days made be granted at the discretion of the Chief Budding
Official and may be subject to a fee equal to one-half of the original permit fee.
3. If this permit expires, a new permit may be required to I obtained. Issuance of a new permit shall be subject to the standard
requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Offial and is not guaranteed.
4, No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for or an approval of, any violation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official h; Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of
WheatR dfge
COAMUNITY DEVELOPMENT
Building & Inspection Services Division
7500 W. 29" Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
FOR OFFICE USE ONLY
Date:
Plan/Permit # � r
wl
Plan Review Fee:
Building Permit Application
*** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. ***
Property Address:
105-1 V, kc" St
Property Owner (please print): I~r M to spa (I Phone: 3 o 7 -q i a - `i(o? I
Property Owner Email:
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Arch itect/Engineer:
Architect/Engineer E-mail: Phone:
Contractor: �1� 111 � ow �V' o�-16 4- '.na-
Contractors City License#:V �5 S Phone:-- S C1 q
Contractor E-mail Address: UMro �" BVI Induct Luood pn)I()rad o _w1?M
Sub Contractors:
Electrical:
W.R. City License #
Other City Licensed Sub:
City License #
Plumbing:
W.R. City License #
Other City Licensed Sub:
City License #
Mechanical:
W.R. City License #
Complete all information on BOTH sides of this form
Description of work: (Check all that apply)
❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE
❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING
❑ COMMERCIAL ADDITION rI RESIDENTIAL ROOFING
❑ RESDENTIAL ADDITION INDOW REPLACEMEN-0
❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT
❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
❑ OTHER (Describe)
(For ALL projects, please provide a detailed description of work to be performed, including current use of areas,
proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and
amount of materials to be used, etc.)
Sq. FtJLF
Amps
am u, i In IC i 4-r,
L IGe Li Ice s ze-s
Btu's
Squares
Gallons
Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
$
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or
regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are
accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance
with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner
or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any
entity included on this application to list that entity on this application.
CIRCLE ONE: (OWNER) (CONTRACTOR) or
PRINT NAME: I CA `�{Y l_
ZONING COMMMENTS
Reviewer.
BUILDING DEPARTMENT COMMENTS:
Reviewer.
PUBLIC WORKS COMMENTS:
Reviewer.
SIGNA
PROOF OF SUBMISSION FORMS
Fire Department ❑ Received ❑ Not Required
Water District ❑ Received ❑ Not Required
Sanitation District ❑ Received Not Required
REPRESENTAT) of (OWNER) �C NNTRACTO
DATE:
DEPARTMENT USE ONL`YJ
OCCUPANCY CLASSIFICATION:
Building Division Valuation: $
'Simtrty the Best for Less
Customer Name:
Address:
Phone:
Fax:
Customer Information: Comments:
Quote Date: 12/20/2017
"o'?'rnpfY the �3est Tor Lass
Project Name: MINSHALL, JOHN
Quote Name: MINSHALL, JOHN
Quote Number: 1950555
Order Date: Quote Not Ordered
PO Number:
RO size for Flange is for standard 1x buck with precast sill. Please contact your supplier for other Flange opening
RO's.
ITEM & SIZES LOCATION / TAG PRODUCT DESCRIPTION UNIT PRICE / EXTENDED PRICE
Line Item: 100-1 KITCHEN
Quantity: 1
RO Size: 72" X 47.75"
Unit Size: 71.5"X47.25"
't S
5800 2 -Lite Slider - XO - CustomCustom
*** PRODUCT ***
Row 1 Professional 5000 - 5800 2 -Lite Slider - XO - 1 Units - 71.5W x
47.25H
*** DIMENSIONS ***
71.5W x 47.25H
*** FRAME ***
West, Vinyl, Frame Type - Finless, Exterior Color - White
*** GLASS ***
Glazing Type - Insulated, Elite, Glass Tint - Clear, Low -E 366, Argon
Gas, Glass Strength - DSB, Thinplate Intercept
*** SCREEN ***
Screen - Half, Screen Mesh Type - Charcoal Fiber, Screens Packed
Separately - No
*** HARDWARE ***
Camlock
*** NFRC **
Series 5000::SingleSlider, U-Factor::0.29, SHGC::0.23, VT::0.53
*** Performance ***
Series 5000::SingleSlider, Calculated Positive DP Rating::20.05,
Calculated Negative DP Rating::20.05, DP Rule ID::5800 SLIDER2,
Rating Type:: Design Pressure, Structural Rating::R-PG20, Water
Rating::5.43, FL ID::N/A, STC Rating::31
Quoted by: Shon Romines Quote Number: 1950555 Pages: 1 of 2 Print Date: 12/20/2017 2:18:40
WW Denver
PERMIT: � �� � � � ADDRESS: �.,, - � � °�� � JOB CODE:
Rough Inspection (continued)
Date
Inspector
Initials
Comments
316 Rough Mechanical Residential
317 Rough Mechanical Commercial
318 Boiler / Furnace
319 Hot water tank
320 Drywall screw and Nail
321 Moisture board / shower walls
,
322 Rough Grading
323 Miscellaneous
T
Final Inspections
Date
Inspector
Initials
1 f J
402 Gas Meter Release
403 Final Electrical Residential
404 Final Electrical Commercial
405 Final Mechanical Residential
406 Final Mechanical Commercial
407 Final Plumbing Residential
408 Final Plumbing Commercial
409 Final Roof
T
410 Final Window/Door
411 Landscape/Park/Planning*
Inspections from these entities shall be requested
one week in advance.
*For landscaping and parking inspections please
call 303-235-2846
**For ROW and drainage inspections please call
303-235-2861
***For fire inspections please contact the Fire
Protection District for your project.
412 Row/Drainage/Public Works**
413 Flood plain Inspection**
414 Fire Insp. / Fire Protection***
415 Public Works Final**
416 Storm Water Mgmt.**
417 Zoning Final Inspection*
.
418 Building Final Inspection
Note: All items must be completed and approved by Planning, Public Works, Fire and Building
before a Certificate of Occupancy is issued. Approval of the Final Building Inspection does not
constitute authorization of occupancy.
For Low Voltage permits please be sure that rough inspections are completed by the Fire District and
Electrical low voltage by the Building Division.
INSPECTION RECORD
Inspection online form: http://www.ci.wheatridge.co.us/inspection
Cancellations must be submitted via the online form before 8 a.m. the day of the inspection
Inspections will not be performed unless this card is posted on the project site
Request an inspection before MIDNIGHT (11:59 PM) to receive an inspection the following business day
0
PERMIT: 1_1C "on�i� 1 ADDRESS: 9_;�_CSO&uen 5f JOB CODE:0..9
Foundation Inspections
Date
Inspector
Initials
Comments
102 Caissons / Piers
103 Footing / P.E. Letter
104 Foundation Setback Cert.
105 Stem Walls
106 Foundation wall Insulation
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground / Slab Inspections
Date
Inspector
Initials
Comments
201 Electrical / Cable/ Conduit
202 Sewer Underground Int.
203 Sewer Underground Ext.
204 Plumbing Underground Int.
205 Plumbing Underground Ext.
206 Water Underground
�Vl
Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections
Rough Inspection
Date
Inspector
Initials -8
( 2 2- __s J id
301 Rough Framing
302 Wall Sheathing
303 Roof Sheathing
304 Sheer Inspection
305 Insulation
306 Mid -Roof
�Vl
307 Metal / Lath / Stucco
d
308 Rough Electrical Residential
309 Rough Electrical Commercial
310 Electrical Meter Residential
311 Electrical Meter Commercial
312 Temp. Const. Meter
313 Rough Plumbing Residential
314 Rough Plumbing CommercialLit
315 Shower Pan
SEE OVER FOR ADDITIONAL INSPECTIONS
i CITY OF WHEAT RIDGE
_:�9rBuilding Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address:
PermitNumber: �� e
--❑ No one available for inspectio Time 1l AM/PM
Re -inspection required: Yes No
When corrre tions have been made, call for re -inspection at 303-234-5933
Date: -! - �� 7 Inspector: ;q l -,r
}
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: 150 ( M ( ID
Job Address: 40605 UPHAM JT.
Permit Number:
❑ No one available for inspection: Time 1 'fib A
Re -Inspection required: YesNo
When corrections have been made, call for re ecti n at 303 -234 -
Date:— 1111 1-q— Inspector:
DO NOT REMOVE THIS NOTICE
► City of Wheat Ridge
Commercial Roofing PERMIT - 201708661
PERMIT NO: 201708661 ISSUED: 10/27/2017
JOB ADDRESS: 4065 Upham ST EXPIRES: 10/27/2018
JOB DESCRIPTION: Permit for a commercial reroof: This permit covers three (3) buildings on
the same property (see site plan) tear off (1) layer, 4/12 pitch 187
squares. and replace with Owens Corning Duration Storm, ice and water on
eaves and new 301b felt on building # 1 and 2 (see site plan) tear off one
layer on garage 14 squares Modified bitumen.
*** CONTACTS ***
OWNER (303)912-4631 UPHAM STREET APARTMENTS LLC
SUB (303)660-9394 Guy Smith 090201 GBS Enterprises Inc
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 103 / BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 88,450.00
FEES
Total Valuation 0.00
Use Tax 1,857.45
Permit Fee 1,043.50
** TOTAL ** 2,900.95
*** COMMENTS ***
*** CONDITIONS ***
In order to pass a final inspection on commercial elastomeric or similar type roofing, a
letter of inspection and approval from the manufacturer technical representative stating
that "the application of the roof at (project address) has been applied in accordance witr:
the installation instruction for (roof material brand name) roof covering" is required to
be on site at the time of final inspection.
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) is required on the entire roof
when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and
Mid -roof inspections may be called in at the same time, 100 percent of the sheathing must
be complete and 25-75 percent of the midroof may be complete. Asphalt shingles are required
to be fastened to the roof deck with a minimum of 6 nails per shingle. A ladder extending 3
feet above the roof eave and secured in place is required to be provided for all roof
inspections. Roof ventilation is required to comply with applicable codes and/or
manufacturer installation instructions, whichever is more stringent.
City of Wheat Ridge
Commercial Roofing PERMIT - 201708661
PERMIT NO: 201708661 ISSUED: 10/27/2017
JOB ADDRESS: 4065 Upham ST EXPIRES: 10/27/2018
JOB DESCRIPTION: Permit for a commercial reroof: This permit covers three (3) buildings on
the same property (see site plan) tear off (1) layer, 4/12 pitch 187
squares. and replace with Owens Corning Duration Storm, ice and water on
eaves and new 301b felt on building # 1 and 2 (see site plan) tear off one
layer on garage 14 squares Modified bitumen.
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applhc%l'e building codes, and all applicable municipal codes, policies and procedures, and that I am tie legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this pen -nit and perform the work described and approved in conjunction with
thisermit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
I. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This.permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180.days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the original permit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired pennits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of an manner shall be performed that shall results in a change. of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all re uired
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division,
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicable code or any ordinance or lation of this jurisdiction. A proval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
t iiu ol
Whctc
Building & Inspection Services Division
7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
j FOR OFFICE USE ONLY
Date:
Plan/Permit #
-�- u n C>
Plan Review Fee:
Building Permit Application
*** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. ***
Property Address:
4065 Upham Street
Property Owner (please print): John Minshall Phone: 303.912.4631
Property Owner Email: minshallip@gmail.com
Mailing Address: (if different than property address)
Address: 2517 Taft CT
State, Zip: Lakewood CO 80215
Architect/Engineer:
Architect/Engineer E-mail:
Contractor: GBS Enterprises Inc.
Contractors City License #:
090201
Contractor E-mail Address: infoPQbsroofing.com
Sub Contractors:
Electrical:
W.R. City License #
Other City Licensed Sub:
City License #
Plumbing:
W.R. City License #
Phone:
Phone: 303.660.9394
Other City Licensed Sub:
City License #
Mechanical:
W.R. City License #
Complete all information on BOTH sides of this form
Description of work: (Check all that apply)
❑ NEW COMMERCIAL STRUCTUREECTRI AI�E UPGRADE
F1 NEW RESIDENTIAL STRUCTURE MMERCIAL ROOFING,
❑ COMMERCIAL ADDITION Li FING
❑ RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT
❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT
❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
❑ OTHER (Describe)
(For ALL projects, please provide a detailed description of work to be performed, including current use of areas,
proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and
amount of materials to be used, etc.)
1 layer tear off, 4/12 pitch 187sgs. Replace with Owens Corning Duration Storm,
Sq. Ft./LF
Amps
color estate grey, ice & water on eaves and new 301b felt on 2 buildings. 1 layer tear off on garage behind the
buildings, 14sq modified bitumen.
Btu's
Squares
201
Gallons
Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
88,450.00
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this pen -nit application are accurate and do not violate applicable ordinances, rules or
regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are
accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance
with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner
or have been authorized by the legal owner of the property to perfonn the described work and am also authorized by the legal owner of any
entity included on this application to list that entity on this application.
CIRCLEONE: (OWNER) (CONTRACTOR)
PRINT NAME:
Guy Smith
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
PUBLIC WORKS COMMENTS.
Reviewer:
PROOF OF SUBMISSION FORMS
Li: (AUTHORIZED REPRESENTATIVE) of (OWNER)
_ SIGNATURE: DATE
Fire Department ❑ Received ❑ Not Required
Water District ❑ Received ❑ Not Required
Sanitation District ❑ Received ❑ Not Required
DEPARTMENT USE ONLY
(CONTRACTOR)
10.26.17
OCCUPANCY CLASSIFICATION:
Building Division Valuation: $
6801 S. Emporia St. #103 . °' Email: info@gbsroofing.com
Greenwood Village, CO 80112 .� ._?� Phone: 303-660-9394
www.gbsroofing.comErVTEr2PF21SHS Fax: 303-660-1405
FZ F.1
Submitted To: Phone: Home# (303) 421-5295 Cell # (303) 912-4631
John Minshall Email: minshallip@gmail.com
Street: Insurance Company/Claim #:
4047-4097 Upham St- UPHAM STREET APT LLC Central Insurance #9752258
City, State, Zip: Lien Holder/Account #:
Wheatridge, CO 80033
[[j Existing roof type: 50 Year Dimensional [21 Vents 57 RV,
E Existing number of layers: 1 Tear Off: Yes [2] Galvanized nails, 6 per shingle
[, Install felt: 30# Q Patio or flat roof: N/A
Replace with: Owens Corning Duration "Storm" 0 Protect landscape where needed
Color of shingle: Estate Gray Gutters cleaned of roofing debris
[] Manufacturer's limited warranty: 50 years Clean up and haul off all trash from roof
[j Impact resistant: Yes Class: 4 Roll yard with magnetic roller
Li Valley type: Closed 5 Year guarantee on labor
E/1 Replace plumbing jacks ALL Permit furnished by GBS Roofing Reimbursed by insurance co.
L7 Metal edge size: 2x Color: White 0 Insurance papers provided upon request
I] Eaves or rakes: Both Eaves and Rakes
S�zCtallr5tFl>c�4ns s$
p: ,
"Price includes all new plumbing jacks and roof vents all painted to match new roof color.
Price includes new metal step flashings at rakes, chimney and where needed.
"Price includes all new 5" gutters and down spouts in the color of "30 degree white".
*Pricer includes ice and water guard at eaves per code.
'Price includes new modified roof on flat roof over garage in white.
• I (we) hereby authorize and/or instruct the insurance company and all lien holders to communicate with and include the name GBS Enterprises, Inc. as Co -Payee on
any subsequent loss draft checks after today's date as indicated below
. I (we) hereby authorize and/or instruct any legal representative and/or agent of GBS Enterprises, Inc. to obtain any and all information necessary to negotiate the
settlement of my (our) claim as well as any information necessary to complete the funding process relative to the claim number listed above
NOTICE: If the property owner plans to use the proceeds of a property and casualty insurance policy issued pursuant to part 1 of article 4 of title 10, C.R.S., to pay for
the roofing work, pursuant to section 6-22-105 the roofing contractor cannot pay, waive, rebate all or part of any insurance deductable applicable to the insurance claim
for oavment for work on the covered residential property. _
We propose to furnish all materials and labor required to complete in accordance with the above stated specification, for the sum of:
Deposit $0.00 Due upon completion In Full =TOTAL $176,918.00
Upon Completion of work the undersigned purchaser agrees to make payment in full the amount shown above.
All material is guaranteed to be as specified. All work to be completed in a workmanlike manner according to All Proposals are subject to approval by management.
stand practices. All interior damage to buildings is excluded 90 days after completion date and the owner Is
notified that any damage to contents will be the responsibility of the owner and his insurance company. All
agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado and APPR I ATE STA T URINISH DATES
other necessary insurance. Scheduling will be done based upon date signed but limited to availability for
materials, crews and weather conditions.
ACCEPTANCE OF PROPOSAL: This proposal becomes a legal binding contract 72 hours from date of acceptance. CU o er Approval Date Y
Cancellation of this contract can be made with written notice within 72 hours of date of acceptance and will
allow the property owner to rescind the contract for roofing services and obtain a full refund of any deposit. The Note: This proposal may be withdrawn by us if not accepted
property owner may also rescind this contract within 72 hours of notice from the insurance company for a claim within 30 days.
that is denied in whole or part if the work being contracted for is to be funded from the proceeds of a property
and casualty. insurance claim. Interest at the rate of 1-1/2% per month (19% per annum) will be added on to all
accounts 30 days past due. In addition, costs and reasonable attorney's fees for collections may be charged on ,� 08/09/17
any account past due over 30 days. Payment will be made as outlined above. Failure to pay can constitute a
mechanics lien filed against property. Cancellation of the contract may be achieved by paying a cancellation fee GBS Approval Date
in the amount of 5% of the contract price. All returned checks are subject to a returned check charge fee.
GBS Enterprises, Inc. is a Registered Colorado Corporation
10/26/2017
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4085 Upham St
Wheat Ridge, CO 80033
4085 Upham St - Google Maps
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`)` DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED
Sheathing,
` Lath l Wall tie '.
Mid -Roof — "
Electrical Service
Rough Electric
Rough Plumbing
;. `Gas Piping
Rough Mechanical
ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING
Inspections will not be made unless this card is posted on the building site
Call by 3:00 PM to receive inspection the following business day.
11
r C�
INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JO 13'
FOUNDATION INSPECTIONS :
DATE
INSPECTOR
COMMENTS: '
INITIALS'
Roof
Footings /Caissons
-
Stemwall I (CEG) Concrete
,Fire Department
,Encased Ground
R.O.W & Drainage.
Reinforcing or Monolithic
INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE. WORKS
SHOULD BE CALLED AT LEAST ONE WEEK PRIOR, TO FINAL INSPECTIONS.
Parking & Landscaping
Weatherproof / French Drain
"`NOTE: ALL ITEMS. MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE
CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION
OF A CERTIFICATE OF OCCUPANCY NOR PERMISSIO FOR OCCUPANCY.
Sewer Service Lines
Water Service Lines
,
POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
CONCRETE SLAB FLOOR
Electrical (Underground)
Plumbing (Ur derground)'
Heating (Underground)
.FINALS
c
[Dryw Framing
nsulation -
Plumbing
Mechanical
all Screw
Roof
.FINALS
c
Plumbing
Mechanical
.FINALS
ElecMcal '
Plumbing
Mechanical
Roof
Building Final
,Fire Department
R.O.W & Drainage.
INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE. WORKS
SHOULD BE CALLED AT LEAST ONE WEEK PRIOR, TO FINAL INSPECTIONS.
Parking & Landscaping
"`NOTE: ALL ITEMS. MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE
CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION
OF A CERTIFICATE OF OCCUPANCY NOR PERMISSIO FOR OCCUPANCY.
OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED
PDATP:nT rWIC !`ADn C:DnAR TNC \AICATL.ICD
♦ i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
~0 p, i
Inspection Type: o f
Job Address: QZ)G-
Permit Number: Gi3(~ a ?
6
❑ No one available for inspection: Time- S-~ AM/P~GI~
Re-Inspection required: Yes
When corrections have been made, call for re-inspection at 303-234-5933
f
Date: f G3~ Inspector: ~n
DO NOT REMOVE THIS NOTICE
♦ i CITY OF WHEAT RIDGE
Building Inspection Division
~r (303) 234-5933 Inspection line
r (303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: 01) D33
Job Address: 466 ®U PH kM S LD : Tv N~w7f
Permit Number: 0 q ace 1?_3
14PMP- 491F 3L-i)65
~JLI~ 4G~` GIc 3~~5
1 I IA
❑ No one available for inspection: Time AM/PM
Re-Inspection required: Yes No
"When corrections have been made, call for re-inspection at 303-2345933
Date:/t)-D-_7-U~7 Inspector:
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Roofing PERMIT - 093623
r4000'r
PERMIT N0: 093623 <ISSUED: 10/23/200.9
JOB-.ADDRESS:. 4065 UPHAM ST EXPIRES: 04/21/2010
DESCRIPTION:' Reroof366.75 sqs
CONTACTS
owner 303/421-5295 John Minshall
sub 303/660-9394 Guy Smith 09-0201 GBS Enterprises Inc.
**.PARCEL :INFO
ZONE CODE: UA ` :.'USE: QUA
SUBDIVISION: UA 'BLOCK/LOT#: 0./
FEE SUMMARY ESTIMATED PROJECT VALUATION: 171,753.00
FEES
Permit Fee 1,816.11
Total Valuation .00
Use Tax 3,091.S5 TOTAL 4,.907.66
.Conditions:
6 nail installation mid-roof inspection required. Board sheathing spaced more
than a 1/2 of an inch apart: requires plywood overlay on entire roof. ice and
water shield required from save edge to 21 inside exterior walls.
***Contractor/Property owner shall provide=ladder(s) secured in place fore'
illpsections..-
Subject to field inspection.
I hereby certify.. that the setback distances proposed by this permit application are accurate, and do. not violate applicable
ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record;. that all
measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this
application and that I assume full responsibility for compliance with the Wheat Ridge Building Code .(I.B.C)and all other
applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to field inspection.
Sign re f~ontractor/owner :date
1. This permit was issued in accordance with the. provisions. set forth in your application and is subject to the laws of the
State of Colorado and to the zoning Regulations and Building Codes of Wheat Ridge, Colorado or any. other applicable
ordinances of the city.
2. This permit shall expire 180 days from the issue date. Requests for an extension must be received: prior to expiration
date. An extension may. be granted at the discretion of the Building Official.
3. If this permit expires, a new permit may be acquired for a fee of one-half the amount normally required, provided no
changes have been or will be made in the original plansand specifications and any suspension or abandonment: has not
exceeded one '.(1) year. If changes. have been or if suspension or abandonment exceeds one (1) year, y`full fees shall
be paid for anew permit..
4. No. work of any manner shall be done. that will change the natural flow of water causing a drainage problem.
5. Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive
written approval on inspection card before proceeding with successive phases of the job.'
6. The issuance of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor r
an approval. of, Any violation of the provisions of the building codes or any other ordinance, law;. rule or. regulation.
All pla rV subject to field inspections.
Signature' C yf Building.' Official =date
INSPE ION REQUEST LINE: (303)234-5933 BUILDING OFFICE: (303)235-2855:.
REQUESTS MUST BE `MADE BY 3.PM. ANYrBUSINESS : DAY FOR:' INSPECTION THE FOLLOWING BUSINESS DAY.
oFw"Tq, City of Wheat Ridge Building Division Date:
7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855' Fax: 303-235-2857 Plan
°o 0o Inspection Line`. 303-234-5933 Permit#r
CORP i
Building Permit Application
Property Address: I, ~Y~cL r1 . C
Property Owner (please print): Phone: 303 442-1 S Z`1 S
Mailing Address: (d different than property address)
Address: 25 -rQ ~r-t7
City, state, zip: ~24.1cx~ C C:~ 80ZIS
Contractor
Contractor License bq - 1` 34 Phone: 30-:5
Sub Contractors:
Electrical City License Plumbing City License Mechanical City License
Company: Company Company:
Exp. Date: Exp. Date: Exp. Date:
Approval: Approval: Approval:
Use of space (description): 1-cDc-~ C- Construction Value: $ 1-1 Description of work` °cCSr--r ~y ( r,pL'~ Y .gyp (as calculated per the Building Valuation Data sheet)
Plan Review (due at time of submittal): $
Sq. Ft./L.Ftadded: Squares te;ISBTU's Gallons Amps
OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances,
rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and
allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full
responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work
under this permit. Plans subject to field inspection.
CIRLCEONE:: (OWNER NTRACTO" . r PERSONAL REPRESENTATIVE of (OWNER) (CONTRAJOR)
PRINT NAME: 47 d F- _ YAW i-/ < SIGNATURE: ate:
I
;,I Bldg Valuation: $ 1
. ~..a. ~ . ' N n i 'u . . ~r n .-r . . < . . . ~ .
~ : . . . . . ..ii ~ . . . : . . ~ .I . ' .
, A,DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 2963
BWILDING tNSPECTION DIVISION - 235-2855
GITY Of WHEAT RIDGE Date : 4/23/96
7500 4WEST 29TH AVENUE
WWEAT RIDGE, CO 80215
Property Owner :
Properly Address : 4065 UPAHM ST
Contractor License No. :
Company :
OWNERlCONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I heroby cortiry that ths seEbadk distances proposed by tliis permk application are accurste,
and do nM violaN,appliCabb ardfnances, ruba or iegulatlons of the Cdy of Wheat Ridga or
covenBMs, easeme~ or ~trictions M rocorcl; Nat all measurcmeMs shown, and allegations
made are aceuraN;tliat I. have natl andag ree toebide by ell wndkiona printed on thia
appIfcation, anttthet I assume NN respons~bild'y for comp liance wiM the Wheat Ridge BuiWing
Code (tl.@.C.) entl all other appikabb Wheffi Ridge ordinances, Mr vrork under thia pertnit.
(OWNER)(CONTRACTOR) SIGNED DATE
Description : ENCIOSE DUMPSTER
Phone : 421-5295
Phone :
Conshvction Value :
$300.00
Permtt Fee :
$0.00
Use Tax :
$0.00
Total:
$0.00
BUILDING DEPARTMENT USE ONLY
Approval :
Zoning :
Approval :
Approval :
Occupancy : Walls
MR 4122196 R-3 ADJACENT PARKING SPOT MUST BE RESTRICTED
TO BACK-IN ONLY
SE 4/22196
Roof : Stories : Residential Units :
Electrical License No : Plumbing License No : Mechanical License No :
Company :
Expiration Date :
Approval :
Company :
Expiretion Date :
Approval :
Company :
Expiration Date :
Approval:
■ ~ ~
(1) RThis epulet~bns ~vms O B~llt~ In Caaboordlem tle of VMeat w Rft ~a eP~CObretlo a am otlror~aurlk9de orNnar~ces M biect b the laws of Me StaEe ot Cdotado end to ihe Zoninp
pp the City.
(z) nas pamm anan axare (n) me woric aumorrzea ia na commencea wmhin abcly (80) daye Irom iasue date a(8) Cre buildinp aulhorizetl is suapendetl a
(a) n.mia Dermitexplias, a newpxmic mey ca
ne-heH Me emount namalry requlred,provItletl no changee hava baen a w111 be made in the
neM has not exceetled one (1) year. lt chanpas are maEe or if suapenabn or abantlonment
(4) No wak Wriy menner slmll be tlWro tliat wiN durpe the naNral fiow W watar cewinq e drelnepa praElem.
(S) C ~q nbotlty~w Itliryg Ineoector lweirtyfour (24) Mure in advance tor all inepectlorro entl ahali receNe wrilten epproval on Irrepecdon ceN betore
q~es d ~p
(e) i o(~peenit or tlie apprtryal of drawingt and epecMCatlona ahall rat be conatruetl ro be a pertnit tor, nw an approval ot, airy violatlon of Me provisiona
Mspector
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR
CALL: 234-5933 24 HOURS PRIOR TO iN3PECTION
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number :
BUILDING INSPECTION DIVISION - 235-2855 Date :
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
PropertyOwner: ~_Ya4FN W
Property Address :40t, cl-AM`-' UPrl~ Phone :'f~21 -524_~
Contractor License No. :
Company: Phone:
k .
OWNER/CON7RACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value : AA,~~
I hereby certify that the setback distances proposed by this permit application are accurate, PeffTlli Fe '
and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or
covenants, easements or restrictions of record: that all measurements shown. and allegations Use Ta
made are accurate; that I have read and agree to abide by all conditions printetl on this
application, and that I assume full responsibil'Ry for compliance with the Whea[ Ridge 8uilding
Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for work unGer this permlt TOI .
(OWNER)(CONTRACTOR) SIGNED DATE ,
Description
BUILDING DEPARTMENT USE ONLY~ y -ae,
~~('lii~'~41ffi~ ~ ~
Approval:
Zoning :
Approval:t5E L-\- ZZ
Q~b1ic.W~~][~bb'Imglits~
Approval:
Occupancy : Walls : Roof : Stories : Residential Units :
Electrical License No : Plumbing License No . Mechanical License No :
Company : Company : Company :
Expiration Date : Expiretion Date : Expiration Date :
Approval : Approval : Approval :
~ ,~Plans:Requlredr..-'j ~ PlansRequired
1 iPJffns.RHq!#~
(1) This permtl was issuetl in accorCance wiN the provisions sel forth in yopur appl¢alion and is suDject to the laws of the State ot Coloratlo and to the Zoning
Regulations antl Building Code of Wheat RiCge, Coloratlo or any oNer appliwble ordmances of the Ciry.
(2) This permit shall expire if (A) the work authonzed is not commencetl within si:ry (W) tlays from issue Oate or (B) the Ouilding authorizetl is suspentled or
aban0one0 for a perio0 oi 120 days.
(3) If lhis pertnR e:pires, a new permM1 may De acquiretl for a fee ol one-half the amount normalry required, provided no changes hava been or will De made in the
original Dlans an0 speufifations and any suspension or abandonmenl has not exceeAeO one (1) year. If changes are matle or if suspension or abanCOnment
ezceetls one (1) year, full fees shall be pai0 for a new permit.
(d) No work ol any manner shall be tlone lnat will cnange the naNrel flow of water causing a Ormna9e problem.
(5) Contractor shall notify the BuilOing Inspector hvenly-four (24) hours in atlvance far all inspecnons anG shall receive writlen apProval on inspection carG Defore
proceetliing with successive phases o( the lob.
(6) The issuance of a permM1 or the approval ol tlrawings and specifcations shall not be construea to De a permit tor. nor an approval 01, any violation of tne provisions
of the buiiding cotles or any other ordinance, law, rule or regulation.
Chief Building Inspector
For Mayor
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
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